Research AppraisalRandomised Controlled Trial

Integrating skeleton based representations for robust yoga pose classification using deep learning models

Scientific reportsMohiuddin, Mohammed, Hossain, Syed Mohammod Minhaz, Khanam, Sumaiya et al.15 July 2026DOI

Clinical Snapshot

30CEBM
Evidence: WeakRandomised Controlled Trial

PICO Framework

P — PopulationStatic yoga pose images (human subjects depicted in yoga postures), evaluated via a curated 16-class dataset ('Yoga-16') developed by the authors
I — InterventionDeep learning classification architectures (VGG16, ResNet50, Xception) applied to skeleton-based input representations generated by MediaPipe Pose and YOLOv8 Pose keypoint extraction models
C — ComparatorThe same deep learning architectures applied to raw (direct) images without skeleton-based preprocessing
O — OutcomesYoga pose classification accuracy; model interpretability via Gradient-weighted Class Activation Mapping (Grad-CAM); cross-validation performance across input modalities

Bottom Line

This study presents a technically competent benchmarking exercise demonstrating that skeleton-based preprocessing (via MediaPipe Pose) improves yoga pose classification accuracy compared to raw image inputs, with VGG16 achieving 96.09% accuracy on the authors' curated 16-class dataset. However, the clinical relevance of these findings is severely limited. The dataset is self-curated with inadequately described characteristics, no external validation is performed, confidence intervals are absent, and no clinically meaningful outcomes — such as injury prevention, real-time usability, or expert-concordance — are assessed. A critical bibliographic concern exists: the provided DOI corresponds to an IEEE Sensors Letters publication, yet the paper is attributed to Scientific Reports with a 2026 publication date, raising reproducibility and provenance questions that editors and readers should investigate before citing. For Australian clinicians and allied health professionals, this work represents an early-stage proof of concept only. It should not inform clinical practice or procurement decisions without prospective validation on diverse, representative populations with clinically defined outcome measures. The methodology may interest physiotherapists and sports medicine practitioners exploring digital health tools, but substantial further research is required before any clinical translation.

Evidence: Weak

Key Findings

  • P Value: Not reported

  • Effect Size: Best performance: VGG16 with MediaPipe Pose skeleton input achieved 96.09% classification accuracy; skeleton-based inputs consistently outperformed raw image inputs across all architectures

  • Primary Outcome: Yoga pose classification accuracy across 16 pose classes using three deep learning architectures and three input modalities

  • Nnt Or Sensitivity: Per-class sensitivity and specificity not reported; no NNT applicable (non-clinical computational study); Grad-CAM used for qualitative model interpretability only

  • Confidence Interval: Not reported

Clinical Application

MediaPipe Pose is an open-source, computationally lightweight framework suitable for mobile and web deployment. VGG16 is a well-established architecture with broad hardware support. However, real-time deployment feasibility, latency benchmarks, and integration into clinical workflows have not been assessed in this study. Yoga is widely practised in Australia, with growing integration into allied health and physiotherapy-led rehabilitation programs. The TGA does not currently regulate software-based pose classification tools as medical devices unless they make diagnostic or therapeutic claims, though this may change under evolving SaMD (Software as a Medical Device) frameworks. The RACGP does not have specific guidelines for AI-assisted yoga pose correction. PBS listing is not applicable. Any clinical deployment in Australia would require prospective validation on diverse Australian populations, AHPRA-compliant governance, and likely TGA SaMD assessment if injury prevention claims are made. The dataset's origin from Bangladesh limits direct demographic applicability to Australian populations, which are more ethnically diverse and may include practitioners with different body habitus distributions. Theoretically applicable to yoga practitioners seeking automated pose feedback, physiotherapy rehabilitation settings using yoga-based movement, and consumer health applications. However, no clinical population has been prospectively evaluated.

Abstract

Yoga is a popular form of exercise worldwide due to its spiritual and physical health benefits, but incorrect postures can lead to injuries. Automated yoga pose classification has therefore gained importance to reduce reliance on expert practitioners. While human pose keypoint extraction models have shown high potential in action recognition, systematic benchmarking for yoga pose recognition remains limited, as prior works often focus solely on raw images or a single pose extraction model. In this study, we introduce a curated dataset, "Yoga-16", which addresses limitations of existing datasets, and systematically evaluate three deep learning architectures-VGG16, ResNet50, and Xception-using three input modalities: direct images, MediaPipe Pose skeleton images, and YOLOv8 Pose skeleton images. Our experiments demonstrate that skeleton-based representations outperform raw image inputs, with the highest accuracy of 96.09% achieved by VGG16 with MediaPipe Pose skeleton input. Additionally, we provide interpretability analysis using Grad-CAM, offering insights into model decision-making for yoga pose classification with cross validation analysis.

References

  1. 1.Mohiuddin, M., Hossain, S. M. M., Khanam, S., Barua, P., Barua, A., & Hossain, M. D. T. (2026). Integrating skeleton based representations for robust yoga pose classification using deep learning models. Scientific Reports. https://doi.org/10.1109/LSENS.2022.3145750 [Note: DOI-journal attribution inconsistency identified; readers should verify source independently via PubMed ID 42449118]
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